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What is a chemical peel?
A chemical peel is a cosmetic procedure which uses an exfoliating chemical solution to remove aged or damaged layers of skin, resulting in a softer, more youthful appearance. There are different chemicals which may be used including trichloroacetic acid (TCA), phenol, and alpha hydroxy acids (AHAs). Chemical peels come in three different strengths. Superficial peels are the mildest peels which often use solutions like glycolic acid or dry ice and they are safe for use on all skin types. Medium peels commonly use trichloroacetic acid and, being harsher than a superficial peel, they create a second-degree burn of the skin. Deep peels, which typically involve phenol, are the harshest and are capable of penetrating through several layers of skin. Deep peels are usually not appropriate for use on dark-skinned patients as they can bleach the skin.

Is there anything that needs to be done to prepare for a chemical peel?
Several weeks before undergoing the chemical peel, you will be required to prepare your skin with a regimen including a twice daily cleansing, the application of moisturizer once or twice daily, and daily application of sunscreen. This regimen will help the skin to peel more evenly, aid in the healing process, and minimize the risk of infection, uneven skin color and other complications. It’s important to select a qualified cosmetic surgeon for your chemical peel procedure and he or she will provide you with a precise skin care regimen that will need to be followed before your procedure.

How are chemical peels performed?
Though procedures and techniques will vary, the chemical peel procedure typically begins by prepping the skin with skin care treatments or microdermabrasion. The skin will also be scrubbed and a mild toner applied in order to remove any oils on the skin. The acidic solution is then gently applied to the skin in layers, peeling away the aged or damaged surface. The amount of time that the solution is left on the skin will depend on the procedure and the particular solution used. The solution is then removed, the skin is wiped clean, and an antibacterial cream is applied to promote comfort and healing.

How long is the recovery after a chemical peel?
Recovery times will vary based on the type and strength of the peel. The skin may feel sunburned or tight after the procedure, and patients should not attempt excessive facial expressions for a few days as this can result in bleeding and tearing of the skin.  A proper skin care regimen of cleansing, moisturizing and sunscreen application is important as it will enhance the healing process and results, as well as prevent infections and skin color changes. Sun exposure should be avoided during the early stages of healing. Loose skin should not be peeled off as this may lead to scarring.

Are there risks associated with chemical peels?
As with many cosmetic procedures, there are some risks associated with chemical peels though these tend to be rare. The risk of side effects and complications is generally greater with deeper peels. Potential complications associated with chemical peels may include the following:

• Allergic reaction.
• Crusting or scaling of the skin
• Heart, liver, or kidney failure. Though rare, deep phenol chemical peels may cause severe organ complications.
• Hypo or hyperpigmentation. Skin discoloration can occur and may appear as darker or lighter patches around the treatment areas.
• Increased sensitivity to sunlight.
• Infection. Infection is more likely to occur in patients with oral herpes.
• Redness. Some amount of redness can be expected after any peel, though severe redness can occur and may take several months to fade.
• Scarring.
• Swelling.

What results can I expect from a chemical peel?
The results that you can expect from a chemical peel will vary according to the type and depth of the peel you receive. Superficial peels produce a slight reduction in the signs of aging and skin damage, while medium peels can effectively minimize fine wrinkles and sun damage. Patients undergoing deep peels can expect more dramatic results including tightening of the skin and the elimination of many wrinkles.

How much do chemical peels cost?

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